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What Causes Chest Discomfort With Shortness Of Breath In A Diabetic Hypertensive Patient?

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Posted on Thu, 31 Jul 2014
Question: Hi Doctor. Kindly do read through the medical history and current medication column to get a background of the patient. Patient has been a very heavy drinker and tobacco consumer for the last 20 years along with having a very volatile mental nature/thinking (ex. Occassional yearly bouts of continuous heavy binge drinking for 4-5 days without consuming any food till the patient reaches a stage of hospitalization, tends to overthink and take too much tensions for small things, anti-social, very negative and pessimistic outlook towards life, sleeplessness in absence of alcohol, tends to shout and remains irritated, refuses to listen to doctor and family's advice). Patient has occassionally tried to quit alcohol permanently but has failed due to lack of self-control after 2-3 weeks of trying on 3 occassions till date in last 4 yrs. Offlate since last 15 days, has experienced attack/fit of sorts for 3 times which has lasted for around 25-30 mins with following symptoms - breathlessness, heavy breathing and sweating, heavy coughing with no discharge, feeling of vomiting with no discharge, pain/heaviness sensation on left side of chest, blockage of left nostril.
Kindly advice.
doctor
Answered by Dr. Sukhvinder Singh (57 minutes later)
Brief Answer:
please see below

Detailed Answer:
Dear Sir
1. Episodic chest discomfort associated with shortness of breath in a diabetic hypertensive patient along with nausea has a strong possibility of heart related cause. This may be an episode of heart rhythm disorder or angina. Please take him to the physician / cardiologist on priority.
2. Such patients are also prone to develop weakness of heart muscles due to alcohol (alcoholic cardiomyopathy). Early recognition of this entity is important as it may be reversible after stopping alcohol. Please get him to the doctor at earliest.
Feel free to discuss further.
Sincerely
Sukhvinder

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sukhvinder Singh (1 hour later)
Sure. Thanks Sir! Could you also please recommend a good and reasonably expensive cardiologist in XXXXXXX (U.P.) ?
doctor
Answered by Dr. Sukhvinder Singh (18 minutes later)
Brief Answer:
please see below.

Detailed Answer:
Dear sir
It is unethical and against policy of website to refer to individuals. However XXXXXXX has two reputed and very good institutes. SGPGI XXXXXXX and LAARY cardiology, a part of KGM college XXXXXXX Both these have good cardiology departments. Please contact any of these.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sukhvinder Singh

Cardiologist

Practicing since :1998

Answered : 1306 Questions

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What Causes Chest Discomfort With Shortness Of Breath In A Diabetic Hypertensive Patient?

Brief Answer: please see below Detailed Answer: Dear Sir 1. Episodic chest discomfort associated with shortness of breath in a diabetic hypertensive patient along with nausea has a strong possibility of heart related cause. This may be an episode of heart rhythm disorder or angina. Please take him to the physician / cardiologist on priority. 2. Such patients are also prone to develop weakness of heart muscles due to alcohol (alcoholic cardiomyopathy). Early recognition of this entity is important as it may be reversible after stopping alcohol. Please get him to the doctor at earliest. Feel free to discuss further. Sincerely Sukhvinder